Mark E Richey MD PC

Key facts

NPI

1336443969

Entity type

Organization (NPI type 2)

Primary specialty

Medical Specialty Clinic/Center 261QM2500X

License

3291 (AK)

Legal business name

MARK E RICHEY MD PC

Practice address

1200 Airport Heights Dr
Ste 205
Anchorage, AK 99508-2965

Phone

(907) 272-4443

Fax

(907) 272-2262

NPI assigned

Dec 22, 2010

Organization subpart

No

Authorized official

Name

Dr. Mark E Richey, MD

Title

President

Phone

(907) 272-4443

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2010.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1336443969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-272-4443",
            "fax_number": "907-272-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082965",
            "telephone_number": "907-272-4443",
            "fax_number": "907-272-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E RICHEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-272-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AK",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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